JASON R WALLACE DO
NPI 1992020937
Family Medicine in Pagosa Springs, CO
About Jason R Wallace Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JASON R WALLACE DO (NPI 1992020937) is an individual family medicine provider in Pagosa Springs, Colorado, licensed in Colorado (DR.0050788) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jason R Wallace Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Jason Wallace reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pagosa Springs, CO 81147
- Reassigned Medicare billing, Colorado enrollment
- 56 clinicians in this Medicare group
Anchorage, AK 99508
- Reassigned Medicare billing, Alaska enrollment
- 228 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 81147 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 19
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PAGOSA SPRINGS, CO 81147
PAGOSA SPRINGS, CO 81147
PAGOSA SPRINGS, CO 81147
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jason Wallace's NPI number?
The NPI number for Jason Wallace is 1992020937. It was assigned to this individual provider in the NPPES registry on April 1, 2010.
Where is Jason Wallace located?
Jason Wallace practices at 95 S Pagosa Blvd, Pagosa Springs, CO 81147. The listed phone number is (970) 731-3700.
What is Jason Wallace's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jason Wallace enrolled in Medicare?
Yes. Jason Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jason Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jason Wallace reassigns Medicare benefits to 2 organizations: Upper San Juan Health Service District (Pagosa Springs, CO) and Providence Health & Services- Washington (Anchorage, AK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jason Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jason Wallace accept?
Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jason Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jason Wallace was last updated on July 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jason R Wallace, DO · NPI 1992020937
Family Medicine physician in Pagosa Springs, Colorado. Individual provider, active in the CMS NPPES registry since April 1, 2010.
## Identity
- **NPI:** 1992020937 (Entity type: Individual)
- **Enumerated:** April 1, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** DR.0050788 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 95 S PAGOSA BLVD, Pagosa Springs, CO 81147-8329
- **Phone:** (970) 731-3700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Upper San Juan Health Service District (NPI 1659523058, Pagosa Springs, CO); Providence Health & Services- Washington (NPI 1093956278, Anchorage, AK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** July 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1992020937) · Data from the CMS NPPES public registry.